Healthcare Provider Details

I. General information

NPI: 1013878578
Provider Name (Legal Business Name): DR. SHARON NKEM ONYENWEAKU I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7907 E FREMONT AVE
CENTENNIAL CO
80112-1822
US

IV. Provider business mailing address

7907 E FREMONT AVE
CENTENNIAL CO
80112-1822
US

V. Phone/Fax

Practice location:
  • Phone: 701-713-0414
  • Fax: 720-817-8965
Mailing address:
  • Phone: 701-713-0414
  • Fax: 720-817-8965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: